BODY MIND HEALING LLC NPI 1578085643

NPI Information

NPI: 1578085643
Provider Name: BODY MIND HEALING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1712 OSBORNE RD STE L
SAINT MARYS, GA
ZIP 31558
Phone: (912) 673-9901
Get Directions

BODY MIND HEALING LLC is a mental health counselor in Saint Marys, GA. BODY MIND HEALING LLC NPI is 1578085643. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1712 OSBORNE RD STE L
SAINT MARYS, GA
ZIP 31558-103
Phone: (912) 673-9901

The provider's authorized official is Ricardo Villalobos .
The authorized official title is Owner/psychotherapist and has the following contact phone number (202) 297-2825.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 7/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC008911	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »